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Wisconsin rates for HCPCS A4396

Ostomy belt with peristomal hernia support

Facilitymedian $58 · 10th–90th $50$1050%20%40%10th90th$58Professionalmedian $45 · 10th–90th $28$870%10%10th90th$45$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $32.36
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $33.11 / $47.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $95.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $53.70 / $64.57
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $177.83 / $281.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $81.28 / $109.65
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $48.98 / $81.28
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $109.65 / $134.90
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $56.23 / $263.03
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $28.18 / $61.66
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $50.12 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$91.20 / $91.20 / $91.20
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $64.57 / $112.20
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $87.10 / $151.36
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $114.82 / $269.15
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $57.54 / $281.84
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $57.54
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $57.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $25.70 / $41.69
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $28.18 / $45.71